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ORIF – Open Reduction Internal Fixation What is ORIF Surgery? An open reduction internal fixation (ORIF) refers to a surgical procedure to fix a severe bone fracture, or break. “Open reduction” means surgery is needed to realign the bone fracture into the normal position. “Internal fixation” refers to the steel rods, screws, or […] Open surgical release of the glenohumeral capsule was more commonly utilized to treat patients with severe and refractory adhesive capsulitis prior to the advancement of arthroscopic techniques to treat this difficult patient population. Although the peri-operative morbidity of this open approach to treatment is now accepted to be somewhat greater than its arthroscopic counterpart, use […] Because adhesive capsulitis of the shoulder, by definition, is due only to a tight and thickened glenohumeral capsule, arthroscopic surgery seems ideal for the treatment of this problem. The capsule is best viewed, and more directly surgically addressed, by an intra-articular approach rather than an extra-articular, open surgical approach. Arthroscopy allows circumferential capsular release as […] Nonoperative treatment commonly begins with measures to reduce shoulder pain and inflammation including topical treatments of heat, ice, transcutaneous electric stimulation, transcutaneous salves and balms, acupuncture, massage and systemic medications [nonsteriodal anti-inflammatory drug (NSAID) class medicines and oral corticosteroids]. The relative contribution to recovery that any of these treatment measures provide remains unclear and their […] The physical examination of patients with adhesive capsulitis reveals a global reduction in range of motion with a marked decrease in glenohumeral translation also present. Examination of the opposite shoulder (if normal) is performed to identify the patient’s expected normal range of motion for comparison. Evaluation for limitation of pure glenohumeral motion (best measured in […] Adhesive capsulitis is a disease that typically progresses through three clinical phases. Patients with this condition will have varying clinical complaints depending upon the phase they are experiencing at the time of interview. The initial inflammatory “painful” phase begins with a spontaneous onset of aching discomfort at rest and the development of pain with use. […] The most common mechanism for sustaining a pectoralis muscle injury is from weight-lifting or athletics. Wolfe et al.It described the transition period from eccentric loading to concentric loading (bench press position) as the most stressful to the inferior muscle fibers of the pectoralis muscle. The patient typically presents after sudden onset of pain in the […] Key Points The long head of the biceps (LHB) originates at and around the supraglenoid tubercle. Although it is intra-articular, it is extrasynovial. Although acute ruptures of the LHB do occur, LHB ruptures are more commonly the result of chronic biceps tendonitis. There is such a close association between subacromial impingement and biceps tendonitis that […] After completing a detailed history, a focused examination can be undertaken. It is critical to compare extremities as the unaffected shoulder can serve as a “normal” template to which one can compare. One should survey for atrophy or asymmetry, especially in the supra and infraspinatus fossae. Long-standing rotator cuff tears are often accompanied by significant, […] |
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